The Siberian Scientific Medical Journal
 
 
№ 1 / 2012 / 48-57

Mechanisms of abdominal sepsis formation at the peritonitis and strangulated intestinal obstruction

Author Affiliations

Abstract

The mechanisms of abdominal sepsis forming at peritonitis and strangulated intestinal obstruction have been investigated with technetium-99m labeled Escherichia coli in the experimental work. It has been shown that the intestinal barrier is bacteria–tight in norm. Under conditions of widespread peritonitis the bacterial translocation and peritoneal resorption developed from the first minutes of the disease and the change of priority of bacteremia focuses from peritoneal to intestinal took place with the pathological process growth. The source of bacteremia development at strangulated intestinal obstruction is both microflora of strangulated loop of small gut and microflora of small intestine above the level of strangulation. Therewith the major role in bacteremia development and abdominal sepsis forming belongs to microflora of strangulated section of small intestine.

Key words

abdominal sepsis, bacterial scintigraphy, bacterial translocation, peritoneal resorption, peritonitis, strangulated intestinal obstruction
References
About Authors (Correspondence):

Grigorev E.G. – doctor of medical sciences, professor, corresponding member of RAMS, director, head of the chair for hospital surgery, e-mail: egg@iokb.ru

Galeev Yu.M. – candidate of medical sciences, deputy director, e-mail: ygaleev@mail.ru

Popov M.V. – candidate of medical sciences, senior researcher, e-mail: popov_mv@mail.ru

Apartsin K.A. – doctor of medical sciences, professor, deputy director, professor of the chair for hospital surgery, e-mail: dr.apartsin@yahoo.com

Salato O.V. – candidate of medical sciences, junior researcher, e-mail: salatoov@mail.ru

Full Text

Received: 09/02/2015